Clients Name: Anne Lauryn Lopez

Age: 17

Food Description

Dimension

Amount

No.of
exc

Wt.(g)/
exc

Bread (pan
Amerikano)
Milk, fresh cows

9 x 8 x 1 cm

2 slices

40

1 cup

250

Chicken leg
Rice,cooked
Water

Small (13-1/2 x 3 cm)

1
1 cup

1
2

30
80

250
LUNCH
30
160

1 cup
3 slice

2
3

80
90

DINNER
320
270

Rice,cooked
Pork (Tagiliran,
laman)
Beef lean meat

7 x 6 x 2-1/2 cm

Sex: F
Total Wt
EP
(g)
(%)/100g
BREAKFAST:
40
100

Actual
EP%

H20 (g)

Energy
(Kcal)

Protein

Fat

CHO

Fiber

0.4

23.2

329

9.7

5.1

61.1

2.5

100

2.5

87.5

65

3.3

3.6

4.8

85
100

0.35
1.6

67.7
135.2

204
258

17.1
4.2

15.1
0.4

0
59.4

0.3
1.2

100
100

1.6
2.7

135.2
104.4

258
1557

4.2
37.5

0.4
156.3

59.4
0

1.2
0

matchbox size (5 x 31/2 x 1-1/2 cm)

20 ml

5 slice

30

150

92

1.63

353

685

115.5

23

3.5

4 teaspoon

20

20

100

0.2

81.3

75

0.2

0.2

18.1

Food Description

Dimension

Amount

Ash

Ca++

Phos

Iron

Retino
l

B
Carotene

Total
Vit. A

Thiam
in

Ribofl
avin

Bread (pan
Amerikano)
Milk, fresh cows

9 x 8 x 1 cm

2 slices

0.9

77

0.20

0.16

3.3

1 cup

0.8

139

Chicken leg
Rice,cooked
Water

Small (13-1/2 x 3 cm)

1
1 cup

0.9
0.8

1 cup
3 slice

0.8
1.8

Fruit flavored
drink(concentrate,
mango flavor)

Rice,cooked
Pork (Tagiliran,
laman)

7 x 6 x 2-1/2 cm

BREAKFAST:
95
3.9

Niacin Vitamin
C

0.4

35

25

39

0.04

0.18

0.10

12
22

93
LUNCH
102
72

1
0.12

15
0

0
0

15
0

0.10
0.04

0.15
0.04

4.9
0.10

4
0

22
27

DINNER
72
270

0.12
0.9

0
90

0
15

0
93

0.04
0.96

0.04
0.36

0.10
11.4

0
0

Beef lean meat

Fruit flavored
drink(concentrate,
mango flavor)

matchbox size (5 x 31/2 x 1-1/2 cm)

20 ml

5 slice

250

960

14

25

325

80

0.55

27.5

4 teaspoon

0.2

23

0.3

295

49

0.02

0.01

0.3

34

Shaira Razina E. Tan

2015-11753